Pacing method and apparatus

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical energy applicator

Reexamination Certificate

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C607S127000, C600S375000

Reexamination Certificate

active

10135909

ABSTRACT:
The present invention provides for a method and apparatus providing pacing to improve the hemodynamics of the heart for patients with AV nodal block, right/left bundle branch block, and heart failure. A lead body having at least one conductor with an insulative sleeve is introduced into the right atrium of a heart. A partially masked helical electrode connected to the conductor is then secured preferably into the atrial aspect of the atrioventricular septum. The electrical conductor is then rotated such that an unmasked portion of the electrode is moved to a depth within the heart tissue substantially near the heart's intrinsic conduction system. This method and apparatus allow pacing in a natural manner via low power stimulation of the heart's intrinsic conduction system.

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Absract Deshmukh, P. et al., “Permanent Direct His Bundle Pacing: Long Term Experience,”Bradycardia IV: Pacemaker Implantation Techniques, Version 30, Ch. 176 (May 5, 2001).
Nielsen, JC, “Optimal Pacing Mode in Patients with Sick Sinus Syndrome,”,Faculty of Health Sciences, PhD, p. 261-2 (2000).
Saxon, L. et al., “Increased Risk of Progressive Hemodynamic Deterioration in Advanced Heart Failure Patients Requiring Permanent Pacemakers,”American Heart Journal, vol. 125, No. 8, pt. 1, p. 1306-10 (May 1993).
Abstract, Yasuteru, Y. et al., “Significant Reduction of Mitral Regurgitation by Direct His-Bundle Pacing or Right Venticular Outflow Septal Pacing in Comparison with Right Ventricular Apical Pacing in Patients with Chronic Atrial Fibrillation and Mitral Regurgitation,”Bradycardia IV: Pacemaker Implantation Techniques, Ch. 178 (May 5, 2001).

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